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Given the presence of both mandatory major criteria (polyneuropathy and monoclonal plasma cell proliferative disorder), at least one other major criteria (sclerotic bone lesions), and at least one minor criteria (skin changes, extravascular volume overload, endocrinopathy), as well as other associations (vitamin B12 deficiency), the patient was diagnosed with POEMS syndrome

Those taking metformin, proton pump inhibitors, or H2 blockers long-term, as these reduce B12 absorption

The process of establishing an IEP in that school district may be very specific and unique

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To counteract these effects, glutathione supplementation has become a popular choice for enhancing skin health and promoting a youthful appearance